*Name

*Student ID#
*Home Address


*City
*State *Zip

*Home Phone

Work Phone

*E-Mail

*Date admitted to DCE

Marital Status
Single
Married
Separated/Divorced

*Date of Birth

List all colleges attended and dates of attendance

ENTRANCE INTERVIEW VERIFICATION

I certify that I completed a Federal Stafford Loan Entrance Interview at another institution.
*Name of Institution

Are you currently receiving or will you be receiving scholarships or aid from sources outside of Linfield College? Examples: Employer reimbursement, Vocational rehabilitation, JTPA benefits, DVR benefits, Trade Adjustment Act, etc. Also list any other financial aid (grants, loans, etc) that you may have received from another college this academic year. Please list amounts and types below:

Summer

Fall

Winter

Spring

CERTIFICATION

*Please check this box to confirm that you have read and agree to the terms below

I understand that I am responsible for completing my financial aid application in a timely manner. I understand that failure to do so could affect the types and/or amounts of aid that I may be awarded. I certify that the information I am submitting on this and all other forms is complete and accurate. I understand that I may be asked to verify any information I have provided and that any documentation requested must be submitted before an offer of financial assistance can be made. I further agree to notify the Office of Financial Aid immediately if I receive any scholarships, employer reimbursement or other aid from sources outside the College.